PIT Fitness Assessment Intake Form
Welcome to PIT Fitness! We are excited to work with you and support you on your fitness journey. We kindly ask that you fill out this form in it's entirety.  This will help us get a better understanding of your unique goals, lifestyle and needs before we meet in person. 

Please remember to wear or bring clothes that you can move freely in so we can effectively perform our assessments. 
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Email *
Full Name  *
Date of Birth *
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Emergency Contact - name and number *
Have you ever worked with a personal trainer? *
What would you consider your exercise experience level? *
What fitness objectives do you want to accomplish? *
Required
In your own words what are the goals you would like to achieve? *
How many times have you tried to reach these goals? *
What has held you back or derailed you from your goals in the past? *
What is the best way to motivate and support you? *
It will take commitment and consistency to reach your goals and achieve lasting results.  What time of day usually works best for you to workout? *
How many times a week are you willing to commit to working out? *
On a scale of 1-10 where would you rank your eating habits? *
How often do you eat fast food? *
Please explain what an average day of eating looks like for you? *
On Average how much water do you drink a day? (reminder: 1cup = 250ml, 1lt = 1000ml) *
Do you currently smoke or vape? *
Do you drink alcohol? *
Do you drink coffee or tea? *
How well do you sleep at night? *
How many hours of sleep would you say you get in an average night? *
Do you have any current/previous injuries or medical conditions? *
Have you been advised by a doctor to avoid any specific activities? *
Do you experience any of the following? *
Required
Is there anything else you would like to add or feel we should be aware of? *
What services are you most interested in *
Required
How did you hear about PIT Fitness? *
Would you like to be added to our mailing list? You would receive emails regarding promotions and tips and tricks regarding health, nutrition and exercise? *
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